License holder summary

BHAGAVATH, BALASUBRAMANIAN, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BHAGAVATH, BALASUBRAMANIAN, MD is 101 DUDLEY STREET, PROVIDENCE 02905. This doctor license is not current. The license was granted 09/12/2003 and expired on 12/31/2013.

Georgia

Composite Medical Board

BHAGAVATH, BALASUBRAMANIAN, MD
Medical - Physician
License number
053673
Date granted
09/12/2003
Date expires
12/31/2013
Class
Medical - Physician
Status
Lapsed
Address
101 DUDLEY STREET
georgiadoctors.net
ID 38028397
LAST UPDATED 2026-04-29 12:28:15 UTC

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